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Organization
MAXILLOFACIAL SURGERY SERVICES OF CENTRAL TEXAS, PLLC
Active
Organization
MAXILLOFACIAL SURGERY SERVICES OF CENTRAL TEXAS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN F GONZALEZ DMD (OWNER / PRINCIPAL MEMBER)
(210) 380-5576
Entity
Organization
Contact information
Practice address
10801 N MOPAC EXPY, BLDG 2 SUITE 130, AUSTIN, TX 78759-5459
(512) 372-6230
(512) 372-6233
Mailing address
10801 N MOPAC EXPY, BLDG 2 SUITE 130, AUSTIN, TX 78759-5459
(512) 372-6230
(512) 372-6233
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22953
TX
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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